© Copyright 2026 American Medical Association. All rights reserved.
The procedure described by CPT® Code 33218 involves the repair of a single transvenous electrode associated with a permanent pacemaker or an implantable defibrillator. A transvenous electrode is a critical component that facilitates the delivery of electrical impulses to the heart, ensuring proper cardiac function. During this procedure, the integrity of the electrode wire is assessed, and if a malfunction is detected, repairs are initiated. Common issues that may necessitate repair include fractures in the electrode, defects in the insulation, or problems with the terminal pin that connects the electrode to the pacemaker or defibrillator. The repair process typically requires an incision in the upper chest to access the malfunctioning electrode wire. Once located, various techniques are employed to address the specific type of defect, ensuring that the electrode can continue to function effectively. This procedure is essential for maintaining the performance of cardiac devices and ensuring patient safety and health.
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